HEIDI BLACKHAM

HERRIMAN, UT
NPI1164107942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
HEIDI BLACKHAM CCC-SLP
13147 S BILSTON LN
HERRIMAN, UT 84096-2173
Phone number: 224-625-0633
Mailing Address
HEIDI BLACKHAM CCC-SLP
13147 S BILSTON LN
HERRIMAN, UT 84096-2173
Phone number: 224-625-0633